Short- and long-term outcomes of patients with anterior vaginal wall prolapse after abdominal paravaginal cystocele repair
Objective: Pelvic organ prolapse (POP) is a common condition for women, causing urinary dysfunction, discomfort due to the lump at the introitus, sexual dysfunction and difficulty with bowel emptying. The lifetime risk for surgical intervention is 12.6 % by age 80, with 19 % of women requiring a sec...
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| Format: | Article |
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Elsevier
2025-05-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455925000853 |
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| author | Kazila Bhutia Xinyi Li Jun Long Ernest Ong Keryi Wong How Chuan Han Hong Liang Chua |
| author_facet | Kazila Bhutia Xinyi Li Jun Long Ernest Ong Keryi Wong How Chuan Han Hong Liang Chua |
| author_sort | Kazila Bhutia |
| collection | DOAJ |
| description | Objective: Pelvic organ prolapse (POP) is a common condition for women, causing urinary dysfunction, discomfort due to the lump at the introitus, sexual dysfunction and difficulty with bowel emptying. The lifetime risk for surgical intervention is 12.6 % by age 80, with 19 % of women requiring a secondary operation due to recurrence. Abdominal paravaginal cystocele repair is an option of treatment for women with Baden–Walker Grade 4 or recurrent cystocele in our centre. Therefore, the short- and long-term outcomes were investigated to evaluate the efficacy of treatment. Materials and methods: Thirty-one women were followed up for 3 years post-surgery, to assess the subjective cure rate (patients not complaining of a lump at the introitus) and objective cure rate (cystocele less than and equal to Baden–Walker Grade 1). Results: The subjective cure rate was 70 % at one-year post-operation, and thereafter maintained at 65 % two- and three-years post-operation. The objective cure rate was 90.3 % in the first month post-operation, 63.0 % at six-months post-operation, and maintained at 40 % from the first year onwards. A second surgery was required in 6 patients (19.4 %). Overall patient satisfaction was excellent, with more than 95 % of patients being satisfied with the operation up to 3 years post-surgery. Conclusions: Overall, the objective and subjective cure rates were comparable with that of other centres, although the rate of recurrence is still high. This information will be beneficial for clinicians and patients to make an informed decision when considering the various surgical treatment options for managing advanced anterior vaginal wall prolapse. |
| format | Article |
| id | doaj-art-f0c8258d24b64a59a9bc73fe6d6b5c41 |
| institution | Kabale University |
| issn | 1028-4559 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj-art-f0c8258d24b64a59a9bc73fe6d6b5c412025-08-20T03:49:32ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592025-05-0164349950310.1016/j.tjog.2024.07.024Short- and long-term outcomes of patients with anterior vaginal wall prolapse after abdominal paravaginal cystocele repairKazila Bhutia0Xinyi Li1Jun Long Ernest Ong2Keryi Wong3How Chuan Han4Hong Liang Chua5Department of Urogynaecology, KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, Singapore; Corresponding author.Department of Urogynaecology, KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, SingaporeLee Kong Chian School of Medicine, Nanyang Technological University, 11 Mandalay Road, 308232, SingaporeDepartment of Urogynaecology, KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, SingaporeHC Han Clinic for Women, Mt Elizabeth Novena Specialist Centre, 38 Irrawaddy Road, #07-28, S329563, SingaporeDepartment of Urogynaecology, KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, SingaporeObjective: Pelvic organ prolapse (POP) is a common condition for women, causing urinary dysfunction, discomfort due to the lump at the introitus, sexual dysfunction and difficulty with bowel emptying. The lifetime risk for surgical intervention is 12.6 % by age 80, with 19 % of women requiring a secondary operation due to recurrence. Abdominal paravaginal cystocele repair is an option of treatment for women with Baden–Walker Grade 4 or recurrent cystocele in our centre. Therefore, the short- and long-term outcomes were investigated to evaluate the efficacy of treatment. Materials and methods: Thirty-one women were followed up for 3 years post-surgery, to assess the subjective cure rate (patients not complaining of a lump at the introitus) and objective cure rate (cystocele less than and equal to Baden–Walker Grade 1). Results: The subjective cure rate was 70 % at one-year post-operation, and thereafter maintained at 65 % two- and three-years post-operation. The objective cure rate was 90.3 % in the first month post-operation, 63.0 % at six-months post-operation, and maintained at 40 % from the first year onwards. A second surgery was required in 6 patients (19.4 %). Overall patient satisfaction was excellent, with more than 95 % of patients being satisfied with the operation up to 3 years post-surgery. Conclusions: Overall, the objective and subjective cure rates were comparable with that of other centres, although the rate of recurrence is still high. This information will be beneficial for clinicians and patients to make an informed decision when considering the various surgical treatment options for managing advanced anterior vaginal wall prolapse.http://www.sciencedirect.com/science/article/pii/S1028455925000853Pelvic organ prolapseAbdominal paravaginal cystocele repairRecurrence rateSurgical outcomes |
| spellingShingle | Kazila Bhutia Xinyi Li Jun Long Ernest Ong Keryi Wong How Chuan Han Hong Liang Chua Short- and long-term outcomes of patients with anterior vaginal wall prolapse after abdominal paravaginal cystocele repair Taiwanese Journal of Obstetrics & Gynecology Pelvic organ prolapse Abdominal paravaginal cystocele repair Recurrence rate Surgical outcomes |
| title | Short- and long-term outcomes of patients with anterior vaginal wall prolapse after abdominal paravaginal cystocele repair |
| title_full | Short- and long-term outcomes of patients with anterior vaginal wall prolapse after abdominal paravaginal cystocele repair |
| title_fullStr | Short- and long-term outcomes of patients with anterior vaginal wall prolapse after abdominal paravaginal cystocele repair |
| title_full_unstemmed | Short- and long-term outcomes of patients with anterior vaginal wall prolapse after abdominal paravaginal cystocele repair |
| title_short | Short- and long-term outcomes of patients with anterior vaginal wall prolapse after abdominal paravaginal cystocele repair |
| title_sort | short and long term outcomes of patients with anterior vaginal wall prolapse after abdominal paravaginal cystocele repair |
| topic | Pelvic organ prolapse Abdominal paravaginal cystocele repair Recurrence rate Surgical outcomes |
| url | http://www.sciencedirect.com/science/article/pii/S1028455925000853 |
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